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1508977182 NPI number — JAMIE GRAHAM BAKER PT

NPI Number: 1508977182
Health Care Provider/Practitioner: JAMIE GRAHAM BAKER PT

Information about “1508977182” NPI (JAMIE GRAHAM BAKER PT) exists in 1508977182 in HTML format HTML  |  1508977182 in plain Text format TXT  |  1508977182 in PDF (Portable Document Format) PDF  |  1508977182 in an XML format XML  formats.

NPI Number : 1508977182 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508977182",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAKER",
    "FirstName": "JAMIE",
    "MiddleName": "GRAHAM",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "447458 E 110 RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLUEJACKET",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74333-4351",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-541-0419",
    "MailingAddressFaxNumber": "918-540-7739",
    "FirstLinePracticeLocationAddress": "310 2ND AVE SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74354-6743",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-540-7738",
    "PracticeLocationAddressFaxNumber": "918-540-7739",
    "EnumerationDate": "08/31/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "1671",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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